Neuro/MSK

Question 1

ascending weaknes wth growers maneuver + calk hypertrophy

Answer 1

duchenne muscular dystrophy

Question 2

genetic cause of duchenne

Answer 2

XR mut in dystrophyin causes muscle cells to die off

Question 3

prognosis of duchenne

Answer 3

15 years

Question 4

delayed muscle relaxation (cannot release handshake) + distal muscle wasting + cataracts, ptosis, baldness, hypogonadism

Answer 4

myotinic muscular dystrophy

inc CPK and get muscle bx

Question 5

intrinsic foot muscle atrophy then intrinsic hand atrophy

Answer 5

charcot-marie tooth disease

Question 6

Dx and treatment of myathenia gravis

Answer 6

Dx with edrophonium test and get CT to r/o thyoma

tx with pyridostigmine

Question 7

MS in kid < 10 yo with just had viral infection

Dx? How to Dx? Tx?

Answer 7

autoimmune demyelination = Acute disseminated enchephalomyelitis (ADEM)

get MRI showing demyelination

Tx high dose GCS

Question 8

MCA stroke in infant causes abrupt onset hemiplegia

Answer 8

Acute infantile hemiplegia

**trauma, infection, hypercoag state cuases it

Question 9

ascendign paralysis after viral infection

Answer 9

guillain barre

Question 10

CSF of pt with gullian barre shows

Answer 10

inc protein

Question 11

what is the treatment of bells palys

Answer 11

eye drops to prevents kerateitis

Question 12

“seesaw diaphrgm”

Answer 12

phrenic nerve palsey

Question 13

C5/C6 palsy after difficult delivery

Answer 13

erb duschene, waiter’s tip palsy

Question 14

total hand paralysis and ipsilateral horner’s syndrome after delivery

Answer 14

klumpke palsy

Question 15

tongue fascicualtions in newborn

Answer 15

SMA type 1